NR 222 Health & Wellness: EXAM 1 FOUNDATIONS
OF HOLISTIC HEALTH PROMOTION | 550+
Integration Scenarios & Evidence-Based
Frameworks | 2026/2027 Edition
Chamberlain University, College of Nursing | 2026/2027 Academic Year
Exam Instructions: This exam consists of 45 questions based on the 2026/2027 NR 222
curriculum. It assesses your understanding of health promotion theories, wellness
concepts, preventative care, and the nurse's role in fostering holistic health. Select the
single best answer that reflects evidence-based health promotion practice.
1. A 28-year-old woman who smokes tells the nurse she is “thinking about quitting”
but has not set a date. Which response best applies the Transtheoretical Model?
A) “You should quit immediately to avoid cancer.”
B) “What are the pros and cons of smoking that you have noticed lately?”
C) “I’ll refer you to a physician for a prescription.”
D) “Most people quit successfully on their first try.”
Rationale: B is correct. The Transtheoretical Model’s “consciousness raising” strategy
helps the patient explore ambivalence in the contemplation stage, enhancing readiness
for change (Prochaska, 2026 update). Option A is paternalistic and skips readiness
assessment. Referral (C) bypasses nurse-led counseling. General statistics (D) are
irrelevant to individual readiness.
2. A community nurse plans a childhood-obesity program. Which level of prevention
is being implemented when offering BMI screening in elementary schools?
A) Tertiary — reducing complications in already obese children
, B) Primary — preventing obesity in the entire population
C) Secondary — early identification in at-risk children
D) Quaternary — avoiding over-medicalization
Rationale: C is correct. Screening detects early disease in asymptomatic children, fitting
secondary prevention (2026 USPSTF obesity screening). Primary (B) would be policy or
education. Tertiary (A) is treatment. Quaternary (D) is not applicable here.
3. A 45-year-old man states he “doesn’t need a flu shot” because he “never gets
sick.” Using the Health Belief Model, which factor should the nurse explore first?
A) His perceived susceptibility to influenza [CORRECT]
B) His employer’s vaccination policy
C) The cost of the vaccine
D) His fear of needles
Rationale: A is correct. The Health Belief Model posits that perceived susceptibility
predicts preventive action (Rosenstock, 2026). Addressing policy (B) is external. Cost
(C) and needles (D) are barriers but secondary to risk perception.
4. A 65-year-old woman living alone has poorly controlled hypertension. Which
nursing action best supports Maslow’s hierarchy?
A) Teach her about antihypertensive side effects
B) Arrange transportation to a senior fitness class
C) Refer her to a community meal program to ensure reliable food access
D) Provide pamphlets on stress-reduction techniques
Rationale: C is correct. Addressing physiological needs (food security) precedes
higher-level health education (Maslow, 2026). Teaching meds (A) and stress (D) are
esteem/self-actualization. Transportation (B) supports safety but food is foundational.
5. During a home visit, a mother states her 3-year-old refuses vegetables. Which
strength-based coaching question is most appropriate?
A) “Why haven’t you forced her to eat them?”
B) “Don’t you know vegetables prevent disease?”
C) “What vegetables has she enjoyed before, even in small amounts?”
D) “Would you like a prescription for vitamins?”
OF HOLISTIC HEALTH PROMOTION | 550+
Integration Scenarios & Evidence-Based
Frameworks | 2026/2027 Edition
Chamberlain University, College of Nursing | 2026/2027 Academic Year
Exam Instructions: This exam consists of 45 questions based on the 2026/2027 NR 222
curriculum. It assesses your understanding of health promotion theories, wellness
concepts, preventative care, and the nurse's role in fostering holistic health. Select the
single best answer that reflects evidence-based health promotion practice.
1. A 28-year-old woman who smokes tells the nurse she is “thinking about quitting”
but has not set a date. Which response best applies the Transtheoretical Model?
A) “You should quit immediately to avoid cancer.”
B) “What are the pros and cons of smoking that you have noticed lately?”
C) “I’ll refer you to a physician for a prescription.”
D) “Most people quit successfully on their first try.”
Rationale: B is correct. The Transtheoretical Model’s “consciousness raising” strategy
helps the patient explore ambivalence in the contemplation stage, enhancing readiness
for change (Prochaska, 2026 update). Option A is paternalistic and skips readiness
assessment. Referral (C) bypasses nurse-led counseling. General statistics (D) are
irrelevant to individual readiness.
2. A community nurse plans a childhood-obesity program. Which level of prevention
is being implemented when offering BMI screening in elementary schools?
A) Tertiary — reducing complications in already obese children
, B) Primary — preventing obesity in the entire population
C) Secondary — early identification in at-risk children
D) Quaternary — avoiding over-medicalization
Rationale: C is correct. Screening detects early disease in asymptomatic children, fitting
secondary prevention (2026 USPSTF obesity screening). Primary (B) would be policy or
education. Tertiary (A) is treatment. Quaternary (D) is not applicable here.
3. A 45-year-old man states he “doesn’t need a flu shot” because he “never gets
sick.” Using the Health Belief Model, which factor should the nurse explore first?
A) His perceived susceptibility to influenza [CORRECT]
B) His employer’s vaccination policy
C) The cost of the vaccine
D) His fear of needles
Rationale: A is correct. The Health Belief Model posits that perceived susceptibility
predicts preventive action (Rosenstock, 2026). Addressing policy (B) is external. Cost
(C) and needles (D) are barriers but secondary to risk perception.
4. A 65-year-old woman living alone has poorly controlled hypertension. Which
nursing action best supports Maslow’s hierarchy?
A) Teach her about antihypertensive side effects
B) Arrange transportation to a senior fitness class
C) Refer her to a community meal program to ensure reliable food access
D) Provide pamphlets on stress-reduction techniques
Rationale: C is correct. Addressing physiological needs (food security) precedes
higher-level health education (Maslow, 2026). Teaching meds (A) and stress (D) are
esteem/self-actualization. Transportation (B) supports safety but food is foundational.
5. During a home visit, a mother states her 3-year-old refuses vegetables. Which
strength-based coaching question is most appropriate?
A) “Why haven’t you forced her to eat them?”
B) “Don’t you know vegetables prevent disease?”
C) “What vegetables has she enjoyed before, even in small amounts?”
D) “Would you like a prescription for vitamins?”
